About: Development of an enhanced Acute Care Surgery service in response to the COVID-19 global pandemic: Assessment of clinical patient outcomes and staff psychological well-being

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About: Development of an enhanced Acute Care Surgery service in response to the COVID-19 global pandemic: Assessment of clinical patient outcomes and staff psychological well-being Goto Sponge NotDistinct Permalink

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Development of an enhanced Acute Care Surgery service in response to the COVID-19 global pandemic: Assessment of clinical patient outcomes and staff psychological well-being
Creator	Mbbs, Phd, Ling, Bmed, M Cai, Mingzhe Chin, Chin, Bbiomedsc Facs, Fracs Fai, Chung Fams, Frcs Khoon Tan, Hiang Khoon, Tan Koh, Fangju Lakshman, Ramu Le, Yun Lim, Huiling Lim, Linda Linn, Yun Mathur, Sachin Mbbs, Frcs Mbbs, Lakshman Mbbs, Mmed Mbbs, Mrcs Mbbs, Mrcsed Mbbs, Xiao Mmed, Frcs Mmed, Ling Mrcsed, Linn Ng, Jeremy Nsdda, Bbiomedsc Nsdda, Hiang Palaniappan, Gautham Phd, Frcs Shuang, Xiao Sock, Teng
Source	Elsevier; Medline; PMC; WHO
abstract	Background: As the COVID-19 pandemic sweeps across the world, healthcare departments must adapt to meet the challenges of service provision and staff/patient protection. Unlike elective surgery, ACS workloads cannot be artificially reduced providing a unique challenge for administrators to balance healthcare resources between the COVID-19 surge and regular patient admissions. Methods: An enhanced ACS (eACS) model of care is described with the aim of limiting COVID-19 healthcare worker and patient cross-infection as well as providing 24/7 management of emergency general surgical (GS) and trauma patients. The eACS service comprised 5 independent teams covering a rolling 1:5 24-hr call. Attempts to completely separate eACS teams and patients from the elective side were made. The service was compared to the existing ACS service in terms of clinical and efficiency outcomes. Finally, a survey of staff attitudes towards these changes, concerns regarding COVID-19 and psychological well-being was assessed. Results: There were no staff/patient COVID-19 cross-infections. Compared to the ACS service, eACS patients had reduced overall length of stay (2-days), time spent in the Emergency Room (46 minutes) and time from surgery to discharge (2.4-hours). The eACS model of care saved financial resources and bed-days for the organisation. The changes were well received by team-members who also felt that their safety was prioritised. Conclusion: In healthcare systems not overwhelmed by COVID-19, an eACS model may assist in preserving psychological well-being for healthcare staff whilst providing 24/7 care for emergency GS and trauma patients.
has issue date	2020-06-25(xsd:dateTime)
bibo:doi	10.1016/j.injury.2020.06.040
bibo:pmid	32605788
has license	no-cc
sha1sum (hex)	51c342176534855dc36fb38e29b0984a1b193150
schema:url	https://doi.org/10.1016/j.injury.2020.06.040
resource representing a document's title	Development of an enhanced Acute Care Surgery service in response to the COVID-19 global pandemic: Assessment of clinical patient outcomes and staff psychological well-being
has PubMed Central identifier	PMC7315164
has PubMed identifier	32605788
schema:publication	Injury
resource representing a document's body	covid:51c342176534855dc36fb38e29b0984a1b193150#body_text
is schema:about of	named entity 'FRCS' named entity '24/7' named entity 'stay at home' named entity 'N95 respirators' named entity 'operating room' named entity 'elective surgery' named entity 'medical student' named entity 'COVID-19' named entity 'pneumonia' named entity 'in-house' named entity 'https' named entity 'COVID-19' named entity 'RT-PCR' named entity 'patient care' named entity 'COVID' named entity 'operating room' named entity 'World Health Organisation' named entity 'endoscopy' named entity 'isolation ward' named entity 'American Gastroenterological Association' named entity 'GI bleed' named entity 'doi' named entity 'Development' named entity 'Acute Care' named entity 'psychological well-being' named entity 'COVID-19 global pandemic' named entity 'doi' named entity 'CT scans' named entity 'outpatient' named entity 'COVID-19 pandemic' named entity 'surgical residents' named entity 'endoscopy' named entity 'PPE' named entity 'COVID-19 test' named entity 'coping strategies' named entity 'Acute care' named entity 'infection' named entity 'critically ill patients' named entity 'operating room' named entity '1:5' named entity 'isolation wards' named entity 'SGH' named entity 'infection' named entity 'quarantine' named entity 'aerosolization' named entity 'gene' named entity 'COVID-19 outbreak'

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